Ka hoʻopili pleural parapneumonic

ʻO ka plural effusion kahi kūkulu o ka wai i ka pleural space. ʻO ka pleura kahi kahi ma waena o nā papa o nā kiko e uhi ana i ka māmā a me ka lua o ka pahu.

I loko o ke kanaka me ka hoʻopili pneumatic pleural effusion, hoʻokumu ʻia ka wai i kūkulu ʻia e ka niumonia.

ʻO ka niumonia, ka hapanui o nā maʻi mai nā maʻi bacteria, ke kumu o ka hoʻopili ʻana i ka pleural pleonic.

Hiki i nā ʻōuli ke hoʻokomo i kekahi o kēia mau mea:

• ʻO ka ʻeha o ka umauma, maʻamau ka ʻeha ʻoi aku ʻoi aku ka maikaʻi me ka hanu a me nā hanu hohonu
• Cough me ka sputum
• Fiva
• Hanu wikiwiki
• Pokole o ka hanu

E nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mau hōʻailona. E hoʻolohe ka mea hāʻawi i kāu mau māmā me kahi stethoscope a kāomi (percuss) i kou umauma a me luna ma hope.

Hiki i nā hōʻike aʻe ke kōkua i ka hōʻoia ʻana i kahi kuhi.

• Helu koko piha (CBC) hōʻike hōʻike koko
• Scanner CT pahu
• Pākuʻi x-ray
• Thoracentesis (ua hoʻoneʻe ʻia kahi laʻana o ka wai me kahi nila i hoʻokomo ʻia ma waena o nā iwi ʻaoʻao)
• Ultrasound o ka umauma a me ka puʻuwai

Kauoha ʻia nā lāʻau antibiotic e mālama i ka niumonia.

Inā loaʻa ka hanu o ke kanaka, hoʻohana ʻia paha ka thoracentesis e hoʻokahe i ka wai. Inā makemake ʻia kahi kahawai ʻoi aku ka maikaʻi o ka wai ma muli o ka maʻi ʻoi loa, hiki ke hoʻokomo ʻia i kahi paipu wai.

Hoʻomaikaʻi kēia ʻano ke hoʻomaikaʻi ka pneumonia.

Komo pū nā pilikia:

• Poino o ka puʻu
• ʻO ka maʻi e lilo i abscess, i kapa ʻia he empyema, kahi e pono ai e ninini ʻia me ka pahu pahu
• ʻO ka māmā nahu (pneumothorax) ma hope o ka thoracentesis
• ʻO ka scarring o ka pleura space (ka uhi ʻana o ka māmā)

Kāhea aku i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka pleural effusion.

Kāhea aku i kāu mea lawelawe a i ʻole hele i ka lumi pilikia inā pilikia ka hanu a paʻakikī i ka hanu ʻana ma hope pono o ka thoracentesis.

Pleural effusion - pulumonia

• ʻŌnaehana hanu

ʻO Blok BK. Thoracentesis. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 9.

Broaddus VC, RW māmā. Hoʻonui effa. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 79.

ʻO Reed JC. Nā effleions Pleural. I: Reed JC, ed. ʻO Radiology Chest: Nā Pana a me nā Diagnosis ʻokoʻa. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 4.